Dental
Waccamaw Pediatric Dental Care, LLC
Waccamaw Pediatric Dental Care, LLC was paid $515K by Medicaid between Jan 2018 and Jul 2019, across 20 billing codes. Its largest line is D1120, dental cleaning, child — 23% of everything it billed.
33Billing provider infoWACCAMAW PEDIATRIC DENTAL CARE, LLC
CONWAY, SC 29526
CONWAY, SC 29526
33aNPI1225194558assigned 12/29/2006
33bProvider typePediatric Dentist
28Total paid$515K
24GClaims19,140
24DCodes billed20
24AFirst – last monthJan 2018 – Jul 2019
Compared with peers
Next to other Pediatric Dentist providers in South Carolina
Rank by total paid#56 of 86
Median peer was paid$1.24M
This provider vs. median0.4×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 12,427 | $338K | |
| 2019 | 6,713 | $177K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 3,462 | 3,462 | $120K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 3,734 | 3,734 | $86K |
| D1208 | Topical application of fluoride, excluding varnish | 14% | 4,571 | 4,571 | $74K |
| D0272 | Bitewings - two radiographic images | 11% | 3,076 | 3,076 | $58K |
| D1110 | Prophylaxis - adult | 11% | 1,143 | 1,143 | $58K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.3% | 687 | 673 | $22K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.8% | 483 | 483 | $20K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 3.5% | 229 | 174 | $18K |
| D0274 | Bitewings - four radiographic images | 1.7% | 322 | 322 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.6% | 106 | 92 | $8K |
| D0330 | Panoramic radiographic image | 1.6% | 164 | 164 | $8K |
| D1351 | Sealant - per tooth | 1.2% | 202 | 57 | $6K |
8 more codes
| D0220 | Intraoral - periapical first radiographic image | <1% | 373 | $5K |
| D0240 | <1% | 245 | $5K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 50 | $4K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 115 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 100 | $4K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 30 | $2K |
| D2140 | <1% | 33 | $2K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 15 | $2K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialWILLIAMS, DEIRDRE (PEDIATRIC DENTIST)